Healthy Living

Saturday, December 5, 2009

Alcoholism is an Illness, Not a Moral Issue

Is it an illness or a choice?

drunk woman in a bar holding her head

drunk woman in a bar holding her head

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Jennifer Ginsberg:
In the aftermath of the horrific tragedy that resulted in Diane Schuler crashing her car into another vehicle head-on and killing eight people, an age-old question regarding the malady of alcoholism has resurfaced: is it an illness or a choice?


People on one side of the fence are quick to condemn alcoholics as weak, immoral, sub-humans who not only lack self-control but are incapable of feeling empathy for others. On the other side, there are those who view alcoholism as a disease, not unlike diabetes or cancer, which requires vigilant treatment in order for the illness to be arrested.


My view as a therapist with more than 15 years of experience in the fields of alcoholism, addiction, and recovery is that alcoholism and addiction are illnesses, but this does not expunge the alcoholic/addict from the obligation to work her ass off to get and stay sober. This also does not excuse the alcoholic's behavior when they are under the influence. Recovering alcoholics are required to make amends for their behavior, and are taught that while having the malady of alcoholism is not their fault, they are indeed responsible for their actions.


While there is a large measure of free will when it comes to initially picking up that first drink or drug, there is no question that one's judgment is impaired while under the influence. It is medically proven that the body of an alcoholic becomes physically dependent on alcohol, and getting sober is the result of an elusive combination of desperation, followed by the willingness to change, and a hell of a lot of grace. Furthermore, alcoholism and addiction are often characterized by relapse, and maintaining sobriety is hard work.


Alcoholism is an illness of denial. It is a malady that tells the sufferer that they don't have it, even in light of total chaos and destruction, which is often obvious to everyone else in the sufferer's life. Rather than dehumanize those that are afflicted, we should stop enabling their alcoholism by denying the gravity of their problems. Instead of resorting to extremes of either demonizing the alcoholic or absolving them of their actions, we can recognize that they are sick individuals who need to take responsibility for their behavior. We have an obligation to help them by squarely confronting their alcoholism, rather than denying it.


How many of us have known and loved an alcoholic or addict, but have inadvertently helped exacerbate the situation by cleaning up their messes or flat-out denying that the problem exists? We only have to look at Daniel Schuler, Diane's husband, who now is begrudgingly admitting that his wife "occasionally smoked pot and drank," to witness the potentially tragic and deadly result of enabling an alcoholic.


I am certain that many of the women reading this article have struggled, or are struggling, with alcoholism and addiction. It is easy to demonize Diane Schuler, one sick woman, whose disastrous judgment was partly influenced by the cocktail of substances she imbibed on that fateful day of inconceivable destruction. How about shifting the focus off the question of her morality by taking this opportunity to examine our own behavior? It is incongruent to condemn one woman whose conduct under the influence resulted in a dramatic and horrific outcome, while rationalizing those times we get behind the wheel after having one too many, or we pop a pill to "take the edge off" before we pick up our kids at school.


If this does not reflect your experience, than perhaps you can breathe a sigh of relief and feel empathy for those who fight to stay sober one day at a time. If you struggle with alcoholism and addiction in your own life, if you look at Diane Schuler and know, "There but for the grace of God go I," do everything in your power to confront your illness head-on and get sober.

Whatever it takes.

Jennifer Ginsberg
Jennifer Ginsberg is a Los Angeles mother, writer, and addiction specialist with over 15 years of experience in the fields of alcoholism, addiction, and recovery. After receiving her MSW from the USC School Of Social Work and MAJCS from Hebrew Union College, Jennifer served as the clinical director of a 120-bed drug and alcohol treatment facility. She also co-developed an addiction prevention program for Jewish youth, which has been implemented in synagogues nationally. Jennifer now works privately with people who are impacted by the devastating effects of drugs and alcohol and writes about all topics related to motherhood, addiction, and women in politics. Read more about her life at angstmom.com

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Comments 1-10 of 563
  • Patricia's Avatar
    Posted by Patricia Fri Aug 21, 2009 11:38am PDT

    No one knows how or when the normal drinker crosses that invisible "line" into the disease of alcoholism - but, once that occurs, the alcoholic looses all ability to control his/her drinking. They say "the first one gets you drunk"...not the 4th, 5th, or 12th. The chemical reaction in the brain sets up the obsession to want "more" and is totally beyond the will power and control of the alcoholic. Total admission of powerlessness and a willingness to change are paramount to the success of the alcoholic to regain his/her life. Once the admission is made, then the alcoholic "must" find a higher power of his/her choice for help on a daily basis to overcome this insidious disease. By the way - this is the only disease known to man which cannot be diagnosed by your doctor, relatives, friends or neighbors...it must be diagnosed by the alcoholic himself...total submission and surrender are paramount to survival.

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  • HawkeyeGirl's Avatar
    Posted by HawkeyeGirl Fri Aug 21, 2009 1:42pm PDT

    As the child of an alcoholic father, I firmly believe that alcoholism is a choice, not an illness. I understand that some people are more susceptible to addictive behavior, but those people have the free will to choose to stay away from whatever substance they abuse. My father had a stroke at age 42 which forced him to face up to his poor choices, and even HE agrees that he knew he couldn't handle having just one, but he decided that he'd rather drink than spend time with us kids and our mom, do work around the house, or whatever.

    I DO have sympathy for alcoholics and the challenges they face. However, allowing them to believe that it's an illness that they can't control provides them the excuse that they need to avoid taking responsibility for their own behavior. Once they realized that they CAN choose to stop drinking, they can make that choice and move forward with their lives. If they think it's an illness, it's easy to say, "well, I can't control sickness" and grab another beer.

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  • nancy's Avatar
    Posted by nancy Fri Aug 21, 2009 3:08pm PDT

    HawkeyeGirl-

    Reread the article-I too had an alcoholic father & I am my father's daughter. Your father did not "decide" to drink instead of being with you-alcholism is an obsession of the mind & BODY. The physical craving is too insense for a non-alcoholic to understand-why elese would It take three shots of vodka in the morning to get at least one to stay down to stop the physical hell of my body's reactions-do you think I chose to do that each morning? Saying it is an illness is not an excuse but an understanding that there are preventative measures one must take. I was a not a bad person but a sick person who is trying to get well, but first I had to deperately want it more than anything on earth even if it meant giving up everyone & everything I loved. I also had breast cancer-I did not choose it but I had to take chemotherpy & medicine to keep it at bay-that is what AA is to me-chemo for alcoholism. It is the toughest job of my life but also the most rewarding. One thing we are taught is that I must understand that a non-alcholoic will never understand. With all your resentment toward your father you should seek some support also or you could go down that road yourself & not realize it until it is too late like I did. Sobriey is the hardest job of my life and I will not recover until I am dead. What a prognosis for a disease don't you think? A fatal disease that garners no sympathy-would you have been sympathetic when I had breast cancer? Search deep in your heart for forgiveness-he is the only father you will ever have and remember-"there but for the Grace of God go I"

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  • mzzbea's Avatar
    Posted by mzzbea Fri Aug 21, 2009 6:42pm PDT

    My step dad was an alcoholic, his only son, my half brother is an alcoholic. While my father served as a parental role model for both me and my brother, I am not an alcoholic. I have to believe that genetics is a factor. Both my step dad's parents died early from liver disease brought on by their alcohol abuse. It is an illness, but

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  • Julie's Avatar
    Posted by Julie Fri Aug 21, 2009 7:52pm PDT

    You are a wise woman, Jennifer Ginsberg

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  • Clarissa's Avatar
    Posted by Clarissa Fri Aug 21, 2009 8:40pm PDT

    Alcoholism is a disease,a really sad one. I think it's so hard for those of us who are not alcoholics to comprehend their illness/obsession that we think there is some choice in their drinking. I also think there's a shameful lack of affordable treatment for alcoholics. AA is not enough for most of them.

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  • Angela's Avatar
    Posted by Angela Fri Aug 21, 2009 8:46pm PDT

    This is a lot better than the other articles I've seen on this website from Jennifer Ginsberg. However, the article makes no mention of the fact that alcoholism is a family disease. Not only the alcoholic suffers, but also those who do not drink, especially immediate family, and even friends and co-workers.

    Ms. Ginsberg writes:

    "How many of us have known and loved an alcoholic or addict, but have inadvertently helped exacerbate the situation by cleaning up their messes or flat-out denying that the problem exists? We only have to look at Daniel Schuler, Diane's husband, who now is begrudgingly admitting that his wife "occasionally smoked pot and drank," to witness the potentially tragic and deadly result of enabling an alcoholic."

    Those who love or have loved someone afflicted with the disease of alcoholism learn defense mechanisms and survival skills to cope with all the shame, fear, anger, guilt, confusion, betrayal, and countless other emotions brought on by the unpredictable behaviors of the alcoholic. These loved ones become just as sick as the alcoholic. They too must work to realize how they suffer from the disease of alcoholism, and how they must change their own attitudes and become open and willing to change themselves.

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  • =]'s Avatar
    Posted by =] Fri Aug 21, 2009 8:52pm PDT

    ALCOHOLISM IS A DISEASE NOT A CHOICE! WHY ARE PEOPLE SO JUDGMENTAL! A few people close to me are alcoholics, and by no means it's a choice.

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  • Angela's Avatar
    Posted by Angela Fri Aug 21, 2009 8:55pm PDT

    Clarissa,

    You're absolutely right about affordable treatment. Althouh there are many facilities that will find funding for minimal treatment, rehab stays have been cut in many places from the original 28/30 days to 14 days, regardless of medical insurance. Many people who suffer from alcoholism and/or addiction require treatment in a rehab facility, and of those, a large number relapse and need to repeat their stay. This has been the norm for all mental health treatments.

    Alcoholism is a life long disease. There is no cure.

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  • james p's Avatar
    Posted by james p Sat Aug 22, 2009 4:00am PDT

    it's hard to understand one's drinking or drug addiction till one has walked in their shoes...if you haven't....be grateful.

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